输尿管镜联合钬激光辅助等离子体汽化治疗复杂性尿道狭窄16例临床分析  

Clinical Analysis of Plasma Vaporization Assisted by Ureteroscopy and Holmium Laser in the Treatment of 16 Cases with Complicated Urethrostenosis

作　　者：邴建勇[1] 奚晓龙[1] 张自刚[1] 朴庆华[1] 曹福华[1] 常华[1] 

机构地区：[1]大庆油田总医院,黑龙江大庆163001

出　　处：《中外医学研究》2014年第3期32-33,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨输尿管镜联合钬激光辅助等离子体汽化治疗复杂性尿道狭窄的疗效。方法:本组16例患者均为复杂性尿道狭窄,均以输尿管镜辅助建立标记或以钬激光建立通道,以等离子体刀进行瘢痕汽化进一步扩大尿道腔,直至电切镜鞘通过狭窄段,最后留置F20#三腔尿管三周,拔除尿管后定期扩张。结果:16例患者经治疗后均予以定期尿道扩张,随访19年,均恢复正常排尿。结论:输尿管镜及钬激光辅助等离子电切镜治疗可以大大提高手术成功率,通道或标记建立后应当尽量采取等离子汽化治疗,可提高患者的远期疗效。[ Abstract ] Objective： To study the clinical effect of plasma vapourization assisted by ureteroscope and holmium laser in the treatment of complicated urethrostenosis.Method： A total of 16 patients with complicated urethrostenosis were selected, and all patients used ureteroscope to set marks or holmium to set path, and researchers used plasmato vapourize scars in order to enlarge urethra, and a F20 catheter was detained 3 weeks, and urethral sounding would be used regularly when catheter was removed.Result： All of 16 patients were given urethral sounding regularly after the treatment and followed up from 1 to 9 years.All patients recovered to urinate normally.Conclusion： Plasma electrotomyoscope assisted by ureteroscope and holmium can raise the success rate of the operation, and plasma vapourization is suggested to be used after the establishtnent of path or mark, which can raise patient＇s long-term effect.

关 键 词：输尿管镜 钬激光 复杂性尿道狭窄 

分 类 号：R699[医药卫生—泌尿科学]